Playtest report preview
Vital DecisionsWhat streamers ran into on Twitch
Co-op emergency room game for up to 8 players where you diagnose and treat patients.
We listened to 8 Twitch streams of Vital Decisions (5h 26m in total). The problem that came up most: medicine and supply costs drain money and stock runs out, in 6 of 8 streams.
8 Twitch streams · 5h 26m analysed · English, French · analysed in the week of 26 Oct 2026 · Steam page
- Problems
- 40
- Ideas
- 7
- Highlights
- 8
Each problem, idea and highlight counts once, however often it came up. The timeline counts every moment: 138 in all.
Read what they actually saidFull report with quotes and VOD links · $49Events and lists
Featured in
Where the moments happened
Grey bars show when the streamer was talking. Each mark is one reported moment; select a type below to hide or show it.
- Stream 1, 36 min analysed: 13 problems, 1 highlight.
- Stream 2, 38 min analysed: 11 problems, 1 suggestion or comparison, 1 highlight.
- Stream 3, 33 min analysed: 14 problems, 1 suggestion or comparison, 1 highlight.
- Stream 4, 42 min analysed: 9 problems, 2 suggestions or comparisons, 1 highlight.
- Stream 5, 1h analysed: 21 problems, 2 suggestions or comparisons, 1 highlight.
- Stream 6, 44 min analysed: 16 problems, 4 suggestions or comparisons, 2 highlights.
- Stream 7, 38 min analysed: 14 problems, 1 suggestion or comparison.
- Stream 8, 35 min analysed: 19 problems, 1 suggestion or comparison, 2 highlights.
Problems (40)
Bugs, confusion, frustration and the moments players gave up. The ones most streams ran into come first.
- #31Frustration
medicine and supply costs drain money and stock runs out
6 of 8 streams · 14 moments
14 quotes + ▶ timestamps in the full report - #2Confusion
patient smile is unreliable as a sign of recovery or treatment status
3 of 8 streams · 7 moments
7 quotes + ▶ timestamps in the full report - #3Confusion
no obvious way to deal with vomit or use the cleaning item
3 of 8 streams · 4 moments
4 quotes + ▶ timestamps in the full report - #32Frustration
vomit cannot be cleaned because the mop and bucket cannot be used
3 of 8 streams · 9 moments
9 quotes + ▶ timestamps in the full report - #4Confusion
vitals readouts, colour meaning and lung sounds are hard to interpret
2 of 8 streams · 8 moments
8 quotes + ▶ timestamps in the full report - #1Bug
joining a lobby by room code fails or is unreadable
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #5Confusion
diagnosis relies on manual and breathing sounds that are hard to use mid-shift
1 of 8 streams · 4 moments
4 quotes + ▶ timestamps in the full report - #6Confusion
picking up, storing and moving items is unclear and fiddly
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #7Confusion
unclear how to tell patient conditions and treatment tiers apart
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #8Confusion
tutorial leaves discharge and patient handling unclear
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #9Confusion
treatment feedback and dosing unclear, stethoscope not explained
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #10Confusion
interact and pickup input is unclear and sometimes seems broken
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #11Confusion
iv dosing and multiple bags are not explained
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #12Confusion
unclear which medication or treatment matches which symptoms
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #13Confusion
resuscitation steps and exiting the defibrillator are not explained
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #14Confusion
wrong medicine penalty and satisfaction score are unclear
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #15Confusion
shift summary shows negative medical cost without explanation
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #16Confusion
emergency patient surge is hard to read
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #33Frustration
bed shortage and slow IVs kill patients and training mode blocks buying beds
1 of 8 streams · 4 moments
4 quotes + ▶ timestamps in the full report - #34Frustration
patient handling is slow with one carry and manual discharge
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #35Frustration
shifts feel long and more intense than expected
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #36Frustration
medicine boxes look too similar and cause wrong treatments
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #37Frustration
easy to decline a patient call by mis-click
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #17Confusion
first training does not explain beds, smiles or what each patient needs
1 of 8 streams · 4 moments
4 quotes + ▶ timestamps in the full report - #18Confusion
briefing text and early training leave basic actions unclear
1 of 8 streams · 4 moments
4 quotes + ▶ timestamps in the full report - #19Confusion
no obvious place to dispose of boxes or dead patients
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #20Confusion
later training modules leave unclear what to do with patients and drugs
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #21Confusion
temperature unit switch is hidden in settings and not noticed
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #22Confusion
lobby start and ready counters are not explained
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #23Confusion
diagnosis thresholds and conditions are not explained
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #24Confusion
medicine stock and ordering is not obvious
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #25Confusion
wait timer above patients is easy to overlook
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #26Confusion
no visible way to wash hands
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #27Confusion
tutorial lets you treat without assessing patients
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #28Confusion
placing and rotating items in the ward is unclear
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #29Confusion
unclear map and progression between ER areas
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #30Confusion
shift start clock is hard to identify
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #38Frustration
join code stays visible on screen during play
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #39Frustration
treatment effects activate slowly
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #40Frustration
character creation hairstyles are limited
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report
Suggestions and comparisons (7)
What players asked for, and which games they compared yours to.
- #41Suggestion
no clear way to sort patients by condition in the waiting room
1 of 8 streams · 5 moments
5 quotes + ▶ timestamps in the full report - #42Suggestion
settings and lobby lack units, streamer mode and clear ready up
1 of 8 streams · 3 moments
3 quotes + ▶ timestamps in the full report - #43Suggestion
no way to see what a patient already received
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #44Suggestion
multiplayer lacks a way to assign and track patients
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #45Suggestion
controls cannot be rebound
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #46Suggestion
temperature shown in fahrenheit only
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #47Suggestion
no way to clean vomit
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report
What landed (8)
Moments players clearly enjoyed.
- #48Highlight
character customization is fun but starts with few options
1 of 8 streams · 2 moments
2 quotes + ▶ timestamps in the full report - #49Highlight
realistic medical feel and settings options are liked
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #50Highlight
diagnostic tools feel good to use
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #51Highlight
reusing and returning IV bags saves money
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #52Highlight
stethoscope lung sounds feel authentic
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #53Highlight
disable vomiting option appreciated
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #54Highlight
settings offer mouse inversion and field of view
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report - #55Highlight
picking pills off the floor feels convenient
1 of 8 streams · 1 moment
1 quote + ▶ timestamps in the full report
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